Abstract 19005: Staying Connected: a CVD Risk Intervention for Young Black Women

Circulation ◽  
2014 ◽  
Vol 130 (suppl_2) ◽  
Author(s):  
Jo-Ann Eastwood ◽  
Debra K Moser ◽  
Nabil Alshurafa ◽  
Lynn V Doering ◽  
Karol Watson ◽  
...  
Keyword(s):  
Risk Factor ◽  
Black Women ◽  
Risk Reduction ◽  
Self Care ◽  
Cardiac Risk ◽  
High Risk Population ◽  
Long Term Effects ◽  
Cvd Risk ◽  
Lipid Panel ◽  
Young Black Women

Fifty thousand Black women, disproportionately affected by cardiovascular disease (CVD), die annually; 49% of Black women ≥ 20 years have CVD. Implementing proactive risk reduction is essential. The purpose of this community - based pilot was to test the feasibility of a program combining self-care education with wireless individualized feedback via a unique smartphone designed to appeal specifically to young Black women (YBW). Methods: Using church-based recruitment, 49 YBW (aged 25-45 years, 60% single) were randomized to treatment (TX) and control groups by church site. The TX group participated in 4 interactive self-care classes on CVD risk reduction. Each participant set individualized goals. Risk factor profiles (waist circumference (WC), BP, lipid panel by Cholestech [Alere]), medical and reproductive history and a battery of psychosocial instruments were assessed prior to classes and 6 months later. Participants were given smartphones with embedded accelerometers and WANDA-CVD, an application that delivered prompts and messages specifically for this pilot. For activity monitoring, phones were worn on the hip during waking hours. Participants obtained and transmitted BP measurements wirelessly via the phone. Changes over time were measured with paired t-tests and linear regression controlling for age and weight. Effect sizes were calculated using Cohen’s D. Results: In risk factor profiles, significant differences favoring the TX group occurred in DBP, WC, and TC/HDL ratio; similar changes in triglycerides yielded a medium-large effect size (Table). TX participants had greater drops in stress, anxiety, and better adherence to heart healthy habits. Conclusion: These interim pilot data validate the feasibility of a combined education/wireless monitoring-feedback program in YBW. Further testing in a large randomized trial is warranted to determine long-term effects on behavior change and cardiac risk profiles in this high risk population.

IMPORTANCE OF CARDIAC RISK REDUCTION (SELF-CARE MODEL) IN FACILITATING LONG TERM BEHAVIOR CHANGE. 3

1998 ◽  
Vol 18 (5) ◽  
pp. 369
Author(s):  
A. Casey ◽  
J. Huddleston ◽  
M. O'Meara ◽  
T. Zuttermeister
Keyword(s):  
Behavior Change ◽  
Risk Reduction ◽  
Self Care ◽  
Cardiac Risk ◽  
Care Model ◽  
Long Term Behavior

1107Reduction of cardiovascular disease risk factors in rural, medically under-served, socioeconomically distressed, high-risk individuals: a randomized controlled trial

2019 ◽  
Vol 40 (Supplement_1) ◽  
Author(s):  
D Moser ◽  
M L Chung ◽  
F Feltner ◽  
T A Lennie ◽  
M J Biddle
Keyword(s):  
Risk Factors ◽  
Blood Pressure ◽  
Risk Reduction ◽  
Controlled Trial ◽  
Self Care ◽  
Density Lipoprotein ◽  
Control Group ◽  
Cvd Risk Factors ◽  
Cvd Risk ◽  
Randomized Controlled

Abstract Background People in rural, socioeconomically distressed areas of the world suffer from marked cardiovascular disease (CVD) disparities. Despite the CVD disparities seen in rural, distressed areas, efforts directed toward CVD risk reduction and prevention are limited. We conducted a randomized, controlled trial to determine the effect of an individualized, culturally appropriate, self-care CVD risk reduction intervention (HeartHealth) compared to referral of patients to a primary care provider for usual care on the following CVD risk factors: tobacco use, blood pressure, lipid profile, body mass index, depressive symptoms, and physical activity levels. Methods The study protocol and intervention were developed with a community advisory board of lay community members, business owners, local government officials, church leaders, and healthcare providers. We enrolled 355 individuals living in Appalachia with two or more CVD risk factors. The intervention was delivered in person to groups of 10 or fewer individuals over 12 weeks. In the first session, participants chose their CVD risk reduction goals. HeartHealth was designed to provide participants with self-care skills targeting CVD risk reduction while reducing barriers to risk reduction found in austere rural environments. The targeted CVD risk factors were measured at baseline and 4 and 12 months post-intervention. Repeated measures data were analyzed with mixed models. Results More individuals in the intervention group compared to the control group met their lifestyle change goal (50% vs 16%, p<0.001). The intervention produced a positive impact on systolic blood pressure (p=0.002, time X group effect), diastolic blood pressure (p=0.001, time x group), total cholesterol (p=0.026, time x group), high density lipoprotein (p=0.002, time x group), body mass index (p=0.017, time x group), smoking status (p=0.01), depressive symptoms (p=0.01, time x group), and steps per day (p=0.001, time x group). Compared to the control group, improvement was seen at 4 months in these risk factors and the positive changes were maintained through 12 months. There were no differences seen across time by group in low density lipoprotein or triglyceride levels. Conclusion Interventions like HeartHealth that focus on self-care and that are derived in collaboration with the community of interest are effective in medically underserved, socioeconomically distressed rural areas. Acknowledgement/Funding Patient Centered Outcomes Research Institute

scholarly journals Controlling Images: How Awareness of Group Stereotypes Affects Black Women’s Well-Being

2017 ◽  
Author(s):  
Morgan Jerald
Keyword(s):  
Racial Identity ◽  
Black Women ◽  
Structural Equation ◽  
Self Care ◽  
Well Being ◽  
Equation Model ◽  
Negative Stereotypes ◽  
Young Black Women ◽  
Drug And Alcohol ◽  
Mental And Physical Health

This paper presents research exploring how stereotypes that are simultaneously racialized and gendered affect Black women. We investigated the mental and physical health consequences of Black women’s awareness that others hold these stereotypes and tested whether this association is moderated by the centrality of racial identity. A structural equation model tested among 609 young Black women revealed that metastereotype awareness (being aware that others hold negative stereotypes of one’s group) predicted negative mental health outcomes (depression, anxiety, hostility), which in turn predicted diminished self-care behaviors and greater drug and alcohol use for coping. High racial centrality exacerbated the negative association between metastereotype awareness and self-care. We discuss implications of the findings for clinical practice and for approaches to research using intersectionality frameworks.

scholarly journals Sexual Orientation and Hypertension Risk Reduction Behaviors Among Adults With High Blood Pressure

2020 ◽  
Vol 1 (2) ◽  
pp. 115-127
Author(s):  
Philip T. Veliz ◽  
Sean Esteban McCabe ◽  
Tonda L. Hughes ◽  
Bethany G. Everett ◽  
Billy A. Caceres ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Risk Factor ◽  
Health Professional ◽  
Risk Reduction ◽  
Sexual Minority ◽  
Sexual Minorities ◽  
Minority Women ◽  
Sexual Minority Women ◽  
Cvd Risk ◽  
Heterosexual Women

IntroductionHypertension is a significant modifiable risk factor for cardiovascular disease (CVD), the leading cause of death in the United States. Evidence is emerging showing disparities in CVD risk between sexual minorities and heterosexuals. Engagement in CVD risk reduction behaviors may account for differences. We examined CVD risk reduction for hypertension between sexual minorities and heterosexuals using data from the 2017 Behavioral Risk Factor Surveillance System.MethodsUsing bivariate and multivariable logistic regression analyses, we compared medical advice and actions taken (taking medicine, changing eating habits, cutting down on sale, reducing alcohol, and exercising) to control blood pressure in sexual minority and heterosexual respondents. Analyses were conducted in 2019.ResultsApproximately 35% of the sample indicated being told by a health professional they had high blood pressure. Sexual minorities were less likely to report reduced alcohol intake to lower their blood pressure (AOR = .52, 95% CI = .30, .88). One sex-specific difference between sexual minority women and heterosexual women was found; sexual minority women were less likely to indicate being advised by a health professional to take medications to lower blood pressure when compared to heterosexual women.ConclusionsStrategies are needed to reduce alcohol consumption in sexual minority individuals. Uncovering the reasons for the lack of adherence by both sexual minority patients and healthcare providers can guide future interventions to improve adherence and reduce hypertension as a CVD risk.

scholarly journals Young African American women’s participation in an m-Health study in cardiovascular risk reduction: Feasibility, benefits, and barriers

2019 ◽  
Vol 18 (7) ◽  
pp. 569-576 ◽  
Author(s):  
N Kathuria-Prakash ◽  
DK Moser ◽  
N Alshurafa ◽  
K Watson ◽  
JA Eastwood
Keyword(s):  
Cardiovascular Disease ◽  
Black Women ◽  
Risk Reduction ◽  
Mobile Health ◽  
Disease Risk ◽  
Cardiovascular Disease Risk ◽  
Health Intervention ◽  
Barriers To Participation ◽  
Young Black Women

Background: Young black women have an increased risk of cardiovascular disease, and thus identifying innovative prevention strategies is essential. A potential preventive strategy is mobile health; however, few studies have tested this strategy in young black women. Aim: The purpose of this study was to assess the feasibility of a mobile health intervention through a digital application to reduce cardiovascular disease risk factors in young black women, and identify benefits and barriers to participation. Methods: Forty black women aged 25–45 years completed four sessions of cardiovascular disease risk reduction education and a six-month smartphone cardiovascular disease risk reduction monitoring and coaching intervention, targeting heart-healthy behavior modifications. At follow-up, women responded to a semi-qualitative online survey assessing the user-friendliness and perceived helpfulness of the intervention. Results: Of 40 women, 38 completed the follow-up survey. Sixty per cent of participants reported that the applications were easy or very easy to maintain, 90% reported that the application was easy or very easy to use. Over 60% observed that their family’s nutrition improved “a lot” or “a medium amount,” and many participants noted positive changes in their children’s diets. Only 8% of participants cited time or cost required to prepare healthy foods as barriers to implementing dietary changes. Conclusions: The m-Health intervention was feasible as a means of cardiovascular disease risk reduction for young black women. In addition, we found that targeting women provided indirect benefits for other family members, especially children. Most of the participants did not encounter systemic barriers to participation, suggesting that mobile health interventions can be effective tools to improve health behaviors in vulnerable populations.

Abstract 17979: Nurse Practitioners Recognize, Address Depression-cardiovascular Disease in Older Adults

Circulation ◽  
2015 ◽  
Vol 132 (suppl_3) ◽  
Author(s):  
Lorraine M Novosel ◽  
Salina A Smialek
Keyword(s):  
Cardiovascular Disease ◽  
Older Adults ◽  
Primary Care ◽  
Risk Factor ◽  
Risk Reduction ◽  
Nurse Practitioners ◽  
Primary Care Physicians ◽  
Diagnosis And Treatment ◽  
Depression Screening ◽  
Cvd Risk

Depression is a risk factor for as well as a comorbidity of cardiovascular disease (CVD) in older adults (OA). Providers must target efforts toward the prevention, recognition, diagnosis, and treatment of depression to reduce CVD burden and morbidity and mortality among our rapidly growing aging population. While the AHA recommends routine screening for depression in all individuals with heart disease and the scientific community considers elevating depression to the status of "formal" CVD risk factor, depression remains under-diagnosed and sub-optimally treated by cardiology and primary care physicians. Nurse practitioners (NPs), utilizing a biopsychosocial model of care have a significant role in screening, health promotion, and risk reduction efforts and are positioned to play a vital role in primary care. This mixed-method study explored NPs’ knowledge, screening and risk reduction behaviors related to depression-CVD in OA. We hypothesized that NPs integrate depression screening, diagnosis and treatment into CVD risk reduction and management. Methods. A national sample of NPs (N=118) completed an anonymous survey. A subset (n=12) participated in a follow-up interview. Results: The NPs were aware of the high prevalence of depression among OA with CVD and identified depression as a risk for CVD. One-half were unaware of the AHA recommendation for depression screening or Medicare depression screening and cardiovascular preventive services. Yet, 70% routinely screened their OA patients, and OA patients with CVD for depression. The NPs (92.7%) were confident in their ability to address classic CVD risks and stressed the importance of a quality patient relationship to optimize depression care. A majority (64%) felt it would be at least “somewhat” easy to incorporate depression into their routine CVD risk reduction practices if depression became a “formal” CVD risk factor. Inadequate counseling skills and lack of mental health resources were cited as challenges. Conclusions. NPs are confident in their ability to promote CVD risk reduction among their OA patients and recognize and address depression in cardiovascular care. They are prepared to incorporate depression into CVD risk reduction practice but lack depression counseling resources.

scholarly journals One Night Stan: Feasibility Study of an HIV Prevention and Sexual Risk Reduction Social Card Game for Young Black Women

2019 ◽  
Vol 8 (2) ◽  
pp. 112-120 ◽  
Author(s):  
Kimberly Hieftje ◽  
Lindsay Duncan ◽  
Orli Florsheim ◽  
Ben Sawyer ◽  
Lynn E. Fiellin
Keyword(s):  
Black Women ◽  
Hiv Prevention ◽  
Risk Reduction ◽  
Sexual Risk ◽  
Feasibility Study ◽  
Card Game ◽  
Sexual Risk Reduction ◽  
Young Black Women

Herpes Risk Still Highest in Young Black Women

2011 ◽  
Vol 42 (9) ◽  
pp. 26
Author(s):  
HEIDI SPLETE
Keyword(s):  
Black Women ◽  
Young Black Women

Cancer Survivors Need CVD Risk Reduction Too

2005 ◽  
Vol 38 (16) ◽  
pp. 38
Author(s):  
MICHELE G. SULLIVAN
Keyword(s):  
Cancer Survivors ◽  
Risk Reduction ◽  
Cvd Risk
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